Individual provider Active NPI

Jennifer L Ridgeley, RN

  • Registered Nurse
  • Seattle, WA
National Provider Identifier
1982202529
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60698225 Issued in WA
Practice address
1909 Clise PL W
Seattle, WA 98199-4027
Phone
(808) 349-1217
Fax
(425) 988-0168
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60698225 WA Primary

Addresses

Primary practice location

1909 Clise PL W
Seattle, WA 98199-4027

Mailing address

1412 SW 43Rd St Ste 206
Renton, WA 98057-4803
Phone (253) 236-5720

Other names 1

  • Jennifer Lynn Fien Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jlridgeley@seattleschools.org Health Information Exchange (HIE) Seattle Public Schools

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60698225WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Retina Center PLLC PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982202529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 206",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "253-236-5720",
            "fax_number": "425-988-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CLISE PL W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981994027",
            "telephone_number": "808-349-1217",
            "fax_number": "425-988-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGELEY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60698225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jlridgeley@seattleschools.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Seattle Public Schools",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1909 Clise Pl W",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981994027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FIEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.